CPC Exam 2

CPC Exam 2 Questions And Answers Verified 100% A 48-year-old male with a history of alcoholism presents to the emergency department (ED) with severe stomach cramps and fever after a weekend binge. In the ED, the patient had tachycardia, a temperature of 101.1 F, a white blood cell count of 15.1, and a lipase level of 485. Abdominal CT showed pancreatic inflammation and no gallstones or cholecystitis. The patient was admitted for treatment of acute alcoholic pancreatitis, systemic inflammatory response syndrome (SIRS) versus sepsis, and alcohol dependence. He was treated with intravenous fluids and pain medication and was kept nothing by mouth (NPO). He received counseling for his alcohol habit while in the hospital. The final diagnoses on the discharge summary were SIRS, acute alcoholic pancreatitis, and alcohol abuse. Which codes should be reported? - K85.20, F10.20, R65.10 A 56-year-old individual presents to your physician office for his first dose of Moderna COVID-19 vaccine. Which administration code should be used? - 0011A A 59-year-old male presents to the emergency room (ER) with coughing, loss of taste and smell, and generalized weakness. The COVID-19 test is positive. The patient's vital signs in the ER are: Blood pressure 88/62, heart rate 102, respiratory rate 23, temperature 99.8 F, and SpO2 88 percent on room air. Haziness and ground-glass opacities are seen on the chest X-ray. After two liters of intravenous fluids, the patient's blood pressure is 91/65. The patient is started on IV Levophed and antibiotics and then admitted to the hospital for treatment of septic shock due to COVID-19 pneumonia and acute respiratory failure. Which ICD-10-CM codes should be reported? - A41.89, U07.1, J12.82, R65.21, J96.00 A 60-year-old male with HTN, mild heart failure, and stage II CKD recently had an acute exacerbation of his heart failure. He was briefly hospitalized and had an echocardiogram performed, which showed combined systolic and diastolic failure. At discharge, which diagnosis code(s) should be reported? - I13.0, I50.43, N18.2 A 68-year-old patient with a history of BCC of the left thigh two years ago presents complaining of crusting on the right nasal tip two months. The patient has a long history of sun exposure with multiple bad sunburns. Biopsy reveals new BCC of the nasal tip; the patient will undergo a Mohs surgery. Which ICD-10-CM code is reported for the new nasal BCC? - C44.311 A 72-year-old patient presents to the emergency department (ED) with a fever of 100.9, a red swollen leg, and nausea. The emergency room (ER) doctor documents final diagnoses of cellulitis, sepsis, and leukocytosis (WBC 15.3). The patient is admitted for treatment of the left calf cellulitis and stays for five days. The progress note on day two states "possible sepsis." The attending physician's final diagnoses are left calf cellulitis, hypokalemia, hypertension, and diabetes. Which ICD-10-CM codes should be reported? - Query the physician for clarification of sepsis. A 78-year-old patient presents to the ED after being called back for two sets of abnormal blood cultures. The patient was in the ED three days prior for symptoms of vertigo and nausea when cultures were obtained. The blood culture was positive for Enterococcus faecalis. Antibiotics were given in the ED. The patient was admitted to determine the infectious source and to administer IV vancomycin. The history and physical exam stated that the patient was asymptomatic from the Enterococcus faecalis bacteremia. The CY scan of the abdomen and the transthoracic echocardiogram didn't show a source of infection. The urine culture was negative. After six days a second set of blood cultures was negative. The patient was discharged with home antibiotics for eight more days to complete 14 days of treatment. Which ICD-10-Cm codes should be reported? - R78.81, 895.2 A collaborative rebuttal after an external audit will result in which of the following? - Improved quality and production from coders A patient is discharged with a final diagnosis of atherosclerotic heart disease (i.e., CAD) and hypertension. Which code(s) should be reported? - Code for CAD and code for hypertension A patient presents for follow-up to discuss management of her high blood pressure. She states that both her HTN and SLE are well controlled with her current medications and denies any recent flare-ups. The patient reports that she is still smoking cigarettes. The provider documents HTN due to SLE is stable and advises her to continue he